CASE STUDY #2 IE: 2/2/12 Pt is 33 y.o. professional hockey player who suffered a concussion on 12/30/11 Mechanism of injury: getting hit in back of helmet.

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Presentation on theme: "CASE STUDY #2 IE: 2/2/12 Pt is 33 y.o. professional hockey player who suffered a concussion on 12/30/11 Mechanism of injury: getting hit in back of helmet."— Presentation transcript:

5 RETURN to TEAM and GAME (3/17/12)…which was a WIN3/7/12Pt enters therapy feeling “better after manual tx last session.” pt points to proximal attachment of SCM as source of discomfort↓ neck painDenies HA3/8/12Pt enters therapy “continuing to feel better after manual therapy; neck feels looser’ and no longer needs mm relaxor during day”3/9/12Pt enters therapy stating “neck feels looser and increased c/s mobility”c/c: UE mm tightness; spasm and anterior c/s mm ache1/10 painRETURN to TEAM and GAME (3/17/12)…which was a WIN

6 THE BRAINHighly sensitive to hypoxic states: the brain does NOT store energy so it relies on a continuous blood flow for oxygen and glucose to live/function

7 CERVICAL SPINE ANATOMYRoles of cranial cervical structures:Provide strong support of skullProtect neural components and vascular structuresProvide muscular attachmentsAllow flexibility/ROM of the C/SShock absorber and “vault” to protect the brainPassage of neurovascular structuresThis area is susceptible to acute dynamic/motion disorders (ie concussion) as well as static/postural disorders (FHP)(Ellis, FFCFMT 2003)

13 EVIDENCE BASED MEDICINESoft tissue mobilization and sub-occipital trigger point releaseDysfunctions can be reduced thus returning the body to a system of balance and efficient function through the appropriate application of techniques of STM and functional mobilization (IPA 2010)****

14 EVIDENCE BASED MEDICINEMuscle Energy Technique (MET)“MET is a manual medicine procedure that has been described as a gentle form of manipulative therapy effective for treating movement restrictions of both the spine and extremities”Spinal joint dysfunction: local tenderness, tissue texture change, asymmetry, limitation of segmental motion and altered end-feel(J. Osteopathic Med, 2003)